West Dover Dental, LLC

NPI #1811352826 in Dover, Delaware

Provider Information

NPI Number: 1811352826
Entity Type: Organization
Organization Name: West Dover Dental, LLC
Primary Specialty: Dentist
Enumeration Date: Dec 17, 2015
Last Updated: Dec 17, 2015

Practice Location

Address: 2 GREENTREE DRIVE
City: Dover
State: Delaware
ZIP Code: 19904
Phone: (302) 734-0330

Authorized Official

Name: DR. GLEN GOLEBURN, D.M.D.
Title: GENERAL DENTIST
Phone: (302) 734-0330

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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